Appeals Review Nurse

healthcaresupportstaffing1
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📍 FL📍 Tampa📍 Tampa, FL, United States📍 us

About this role

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Position Summary:

  • Reviews clinical information provided by the facility and providers to evaluate the medical necessity and clinical appropriateness of requested services for a member
  • Collects information concerning eligibility, provider status, benefit coverage, coordination of benefits and subrogation necessary to reach prospective, concurrent and retrospective decisions in the appeals process
  • Produces approval and denial letters on behalf of the Medical Director for submission to member, provider or hospital


Hours for this Position:  Monday-Friday 8:00-5:00


Advantages of this Opportunity:

  • Competitive salary, negotiable based on relevant experience
  • Benefits offered, Medical, Dental, and Vision
  • Fun and positive work environment

Qualifications

What We Look For:

  • LVN/LPN
  • Experience in acute care facility
  • Experience managing patients in an inpatient environment
  • Knowledge of MS applications

Additional Information

Are you an experienced LVN or LPN with claims and appeals experience  looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Interested in hearing more about this great opportunity? Please click on the apply button for immediate consideration. 

Frequently Asked Questions

Is the salary disclosed for the Appeals Review Nurse position at healthcaresupportstaffing1?
The salary for this Appeals Review Nurse role at healthcaresupportstaffing1 is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Appeals Review Nurse position at healthcaresupportstaffing1 located?
This Appeals Review Nurse role at healthcaresupportstaffing1 is based in FL, Tampa, Tampa, FL, United States, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
How do I apply for the Appeals Review Nurse position at healthcaresupportstaffing1?
Click the "Apply Now" button on this page. You will be redirected to healthcaresupportstaffing1's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the Appeals Review Nurse job at healthcaresupportstaffing1 posted?
This Appeals Review Nurse position at healthcaresupportstaffing1 was posted on Nov 2, 2015. Apply as soon as possible — early applications are often reviewed first.
Appeals Review Nurse
healthcaresupportstaffing1
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